22 results
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... a flail chest, initially ... fractures missed by CXR ... #Chest #Breathing ... #video #trauma
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... a flail chest, initially ... fractures missed by CXR ... #Chest #Breathing ... #video #trauma
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Pertinent Chest ... more places - Flail ... chest, pulmonary ... abdominal viscus #cxr ... #diagnosis #signs
Chest Trauma Complications - Differential Diagnosis Algorithm
Cardiac:
 • Cardiac Tamponade*
 • Pericarditis
 • Myocardial Contusion
 •
Chest Trauma Complications ... Fractures • Flail ... Esophageal Injury Lung ... : • Pulmonary ... Contusion • Pneumothorax
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
pneumothorax, COPD ... atelectasis • Lung ... MG, ALS) • ↓ chest ... compliance (e.g., flail ... chest, kyphoscoliosis
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
Notice the air-fluid ... attached to the chest ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax
Assessment of Chest Tube Drains
Stepwise assessment of Chest Tube Function
TUBE POSITIONING
 • Look at the CXR:
• Look at the CXR ... since a prior CXR ... injury to the lung ... large injury to lung ... ChestTube #Drains #Diagnosis
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions than the chest ... can suggest the diagnosis ... abutting the pleura, air-bronchograms ... The chest film shows ... #CXR #CTChest #
Monod Sign on Chest CT
 • Air surrounding a fungal ball in a preexisting pulmonary cavity
Monod Sign on Chest ... CTAir surrounding ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Air Bronchogram Sign on Chest CT
 • Patent airways surrounded by opacified lung
 • DDx: pna,
Air Bronchogram ... Sign on Chest CT ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical